This study proposes to examine the quality of procedural medical care provided by rural doctors who are not specialists. The disciplines of Anaesthetics, Surgery and Obstetrics will be included. Most of these services in rural Australia are not provided by specialist medical practitioners, but rather by rural general practitioners who have obtained additional training, albeit shorter than that undertaken by specialist trainees, and who are supported by skilled nurses and other health professiona ....This study proposes to examine the quality of procedural medical care provided by rural doctors who are not specialists. The disciplines of Anaesthetics, Surgery and Obstetrics will be included. Most of these services in rural Australia are not provided by specialist medical practitioners, but rather by rural general practitioners who have obtained additional training, albeit shorter than that undertaken by specialist trainees, and who are supported by skilled nurses and other health professionals in relatively small rural hospitals. Patients and rural doctors often have little choice but to manage urgent cases locally and in some cases experienced and skilled local teams are able to offer a wider range of services, including a limited number of elective procedures. Despite underlying assumptions that the quality of the services cannot match that of specialist care in larger hospitals, there is no agreement on what constitutes quality of rural procedural care and little evidence that the quality is different. This issue is important as substantial government funds are spent on recruiting, training and retaining a qualified rural medical workforce, and yet fewer rural doctors are providing these services and fewer rural hospitals have the facilities to support those rural doctors still providing the services. Further, measuring the quality of care is a complex issue on which different stakeholders may have different views. This study proposes a multi-perspective approach to assessing the quality of care through a number of case studies provided by rural doctors.Read moreRead less
Alice Springs Hospital Readmission Prevention Project
Funder
National Health and Medical Research Council
Funding Amount
$124,608.00
Summary
The Alice Springs Hospital Readmission Project is a collaboration between Alice Springs Hospital and the Baker IDI in Central Australia. Recurrent readmissions can lead to hospital overcrowding and remove a person from their community. The project will investigate whether a tailored discharge planning and case management approach for adult patients with complex chronic disease is beneficial in reducing recurrent readmissions to hospital and facilitating engagement with primary care services.
SCRC: PhD: Reducing The Taint In Barramundi Farmed In Recirculating Freshwater Systems
Funder
Fisheries Research and Development Corporation
Summary
Inconsistent quality of farmed barramundi (pond or recirculation system) in the marketplace has been identified by ABFA as a major issue causing buyer resistance and negative market impacts. This is limiting realisation of full revenue return for farmed barramundi. The inconsistency in quality is mainly associated with the presence of ‘earthy’ or ’muddy’ taints derived from planktonic and benthic algae (particularly cyanobacteria), fungi and actinomycetes which are known to p ....Inconsistent quality of farmed barramundi (pond or recirculation system) in the marketplace has been identified by ABFA as a major issue causing buyer resistance and negative market impacts. This is limiting realisation of full revenue return for farmed barramundi. The inconsistency in quality is mainly associated with the presence of ‘earthy’ or ’muddy’ taints derived from planktonic and benthic algae (particularly cyanobacteria), fungi and actinomycetes which are known to produce geosmin (GSM) and 2-methyl isoborneol (MIB). These compounds impart muddy, earthy, musty odour, detectable by the human palate when present at extremely low concentrations in water and fish, and not favoured by consumers (Percival et al., 2008). This project aims to develop an algae-taint production model for recirculation systems. This innovative approach will provide clear and measurable direction for reducing taint compound levels through provision of a practical management tool. Its use will significantly improve knowledge of the balance between water quality, algicide use and purging time and conditions, and taint variability.Read moreRead less
Polypharmacy In Elderly Australians - Can Deprescribing Improve Health Related Outcomes And Reduce Costs?
Funder
National Health and Medical Research Council
Funding Amount
$344,644.00
Summary
Medications are often inappropriately prescribed in elderly Australians. This research investigates whether reducing certain classes of medications results in improved patient outcomes, and what the cost implications are of inappropriately prescribed medications and the costs of a service which reduces drug useage.
Subjective wellbeing and depression in Australia: A longitudinal study involving people in remote locations. This project is an extension of the Australian Unity Wellbeing surveys currently conducted as in a partnership between the industry partner and Deakin University. The project will involve the participants of current cross-sectional surveys into a longitudinal study. There are three aims: To investigate the ability of decreased levels of subjective wellbeing to signal depression; To tr ....Subjective wellbeing and depression in Australia: A longitudinal study involving people in remote locations. This project is an extension of the Australian Unity Wellbeing surveys currently conducted as in a partnership between the industry partner and Deakin University. The project will involve the participants of current cross-sectional surveys into a longitudinal study. There are three aims: To investigate the ability of decreased levels of subjective wellbeing to signal depression; To track the normal course of subjective wellbeing recovery following a life event that has caused it to decrease; To monitor the subjective wellbeing of rural-remote Australians. These outcomes will provide further understanding of depression and the wellbeing of Australians living in remote setting.Read moreRead less